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May 28th, 2005, 10:52
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Myocardial Bridging in a Patient With Exertional Chest Pain
This case study describes a 37 y/o man with exertional chest pain and a reversible defect of the anterior and inferoapical walls. Cardiac catheterization found normal coronary arteries during diastole but a high-grade stenosis of the mid left anterior descending coronary artery during systole. This is a "milking effect" and "stepdown-stepup" phenomenon, and is typical of myocardial bridging, which is produced by systolic compression of an epicardial coronary artery that has an abnormal intramural course. The first line therapy is beta-blockers. Surgical myotomy and stenting are reserved for cases not responding to medical treatment. PMID: 15891299
Myocardial Bridging in a Patient With Exertional Chest Pain. Stathaki M, Velidaki A, Koukouraki S, Skalidis E, Vardas P, Karkavitsas N. From the Departments of *Nuclear Medicine and daggerCardiology, Heraklion Medical Center, Heraklion University School of Medicine, Heraklion, Crete, Greece. Clin Nucl Med. 2005 Jun;30(6):422-424.
http://www.ncbi.nlm.nih.gov/entrez/...1299&query_hl=8
case study
ncupdate
Last edited by sysadmin : June 4th, 2005 at 17:33.
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